Galanopoulos A, Snibson G, O'Day J
Royal Victorian Eye and Ear Hospital, East Melbourne.
Aust N Z J Ophthalmol. 1994 Aug;22(3):167-73. doi: 10.1111/j.1442-9071.1994.tb01712.x.
Necrotising anterior scleritis is a rare sequela of ocular surgery. Typically an intense scleral inflammation develops at or adjacent to the site of the previous surgery. Necrosis supervenes and may then progress circumferentially to involve much of the anterior sclera. Surgically induced necrotising scleritis (SINS) has been previously described after cataract extraction, trabeculectomy, retinal detachment and strabismus surgery. We report three cases of SINS following pterygium excision. In each case the disease was prolonged, progressive and required protracted immunosuppressive therapy.
坏死性前巩膜炎是眼科手术罕见的后遗症。通常在先前手术部位或其附近会发生强烈的巩膜炎症。随后会出现坏死，坏死可能会沿圆周方向发展，累及大部分前巩膜。白内障摘除术、小梁切除术、视网膜脱离手术和斜视手术后均曾有过手术诱发的坏死性巩膜炎（SINS）的报道。我们报告了3例翼状胬肉切除术后发生SINS的病例。在每例病例中，病情迁延、呈进行性发展，需要长期的免疫抑制治疗。
